Cruse, Stacey Lynn
Cruse, Stacey Lynn is an individual health care provider with primary practice located at 9909 Medical Center Dr , Rockville MD 20850-6361. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Cruse, Stacey Lynn can be contacted via phone (240) 864-6200.Contact Information
Primary practice address
9909 Medical Center Dr
Rockville MD 20850-6361
Phone: (240) 864-6200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 20861 | Maryland |
Profile Details
| NPI number | 1396788154 |
|---|---|
| LBN Legal business name | Cruse, Stacey Lynn |
| Credentials | PT, DPT, ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Aug 3rd, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396788154 | NPPES |
| Maryland | MEDICAID | 40707550 |
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